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At the beginning of the fourth stage of labor the nurse assess what four things? (Select four correct answers).

Fundal tone

Lochia

Transcutaneous bilirubin

Engorgement

Vital Signs

Bladder distension

Answer and Explanation

Correct Answer : A,B,E,F

A. Fundal tone assessment helps detect uterine atony.

B. Lochia assessment monitors postpartum bleeding.

C. Transcutaneous bilirubin is not assessed in the immediate postpartum period.

D. Engorgement relates to breastfeeding and is not a priority in the fourth stage.

E. Vital signs are crucial to monitor for hemorrhage or shock.

F. Bladder distension can affect uterine contraction and bleeding.

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Correct Answer is B

Explanation

Rationale:

A. Refitting the diaphragm is recommended after significant weight change, not when changing partners.

B. Leaving the diaphragm in place for at least 6 hours after intercourse ensures effective contraception.

C. Lubricant is not placed inside the diaphragm but on the rim or used with spermicide.

D. Leaving the diaphragm in during menstruation increases the risk of toxic shock syndrome.

A. Tachysystole B. Tachycardia with minimal variability C. Late decelerations with absent variability D. Sinusoidal Pattern E. Absent variability with no periodic changes F. Bradycardia with absent variability G. Late decelerations with moderate variability H. Variable decelerations with absent variability

Correct Answer is ["A","C","D","F"]

Explanation

A. Tachysystole refers to excessive uterine contractions, which can cause fetal distress and indicates a category 3 strip.

B. Tachycardia with minimal variability does not qualify as a category 3 pattern; it is concerning but not as severe as category 3.

C. Late decelerations with absent variability are highly concerning for fetal compromise, making the strip category 3.

D. A sinusoidal pattern indicates severe fetal distress and categorizes the strip as category 3.

E. Absent variability with no periodic changes may suggest a non-reassuring pattern but is not categorized as a category 3 strip unless other signs of fetal distress are present.

F. Bradycardia with absent variability is another critical pattern, indicating poor fetal oxygenation and requiring intervention, categorizing it as a category 3 strip.

G. Late decelerations with moderate variability indicate a category 2 strip, not category 3.

H. Variable decelerations with absent variability can be concerning, but it doesn't automatically classify as category 3 without further complications.

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At the beginning of the fourth stage of labor the nurse assess what four things? (Select four correct answers).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse teaches a couple that the diaphragm is an excellent method of contraception providing that the woman does which of the following?

Correct Answer is B

Explanation

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Correct Answer is ["A","C","D","F"]

Explanation

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